scholarly journals NICE CG178 Psychosis and Schizophrenia in Adults: Treatment and Management – an evidence-based guideline?

2015 ◽  
Vol 206 (5) ◽  
pp. 357-359 ◽  
Author(s):  
Mark Taylor ◽  
Udayanga Perera
Keyword(s):  
At Risk ◽  
Cognitive Behavioural Therapy ◽  
Clinical Guideline ◽  
Evidence Base ◽  
Behavioural Therapy ◽  
Evidence Based ◽  
Nice Guidelines ◽  
Cognitive Behavioural ◽  
Evidence Based Guideline ◽  
Nice Clinical Guideline

SummaryNational Institute for Health and Care Excellence (NICE) clinical guideline (CG)178 was published in 2014. NICE guidelines occupy an important international position. We argue that CG178 overemphasises the use of cognitive–behavioural therapy for schizophrenia and those ‘at risk’ of psychosis, with recommendations that do not always reflect the evidence base. The CG178 recommendations on medications are limited.

Supporting low intensity interventions using the telephone

2010 ◽  
pp. 275-280 ◽  
Author(s):  
Karina Lovell
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Evidence Base ◽  
Behavioural Therapy ◽  
Practical Application ◽  
Low Intensity ◽  
Cognitive Behavioural ◽  
Therapy Interventions

Chapter 27 discusses LI interventions using the telephone, and aims to provide the rationale, evidence base, challenges, solutions and practical application of delivering low intensity psychological (mainly cognitive behavioural therapy) interventions by telephone.

The practice and research of cognitive behavioural therapy in Egypt: a review of the current status

2020 ◽  
Vol 13 ◽  
Author(s):  
Reham Aly ◽  
Hisham Ramy ◽  
Shanaya Rathod
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Arab World ◽  
Behavioural Therapy ◽  
Current Status ◽  
Evidence Based ◽  
List Type ◽  
Cultural Variations ◽  
Western Countries ◽  
Mixed Response ◽  
Cognitive Behavioural

Abstract Cognitive behavioural therapy (CBT) is generally defined as a short-term, problem-oriented psychotherapy that focuses on modifying dysfunctional emotions, thoughts and actions. In clinical practice, CBT consists of a number of cognitive and behavioural techniques that aim to help patients suffering from psychological disorders. The practice of CBT is well established in Western countries. In non-Western countries, CBT is still in the process of being established as the evidence-based psychotherapy. Despite being the heart of the Arab world, the development and practice of psychotherapy in Egypt in general, and CBT specifically, is still emerging. The training and practice of CBT has received a mixed response in Egypt. In practical settings, evidence-based CBT is subject to individual and cultural variations and adaptations. Many local studies examining the efficacy of CBT in psychiatric disorders among different population groups in Egypt have been conducted. Unfortunately, many of these studies have not been published and therefore have missed the opportunity for international recognition. The current review aims to explore the practice of CBT with a specific focus on national research of efficacy and adaptability of CBT for different populations in Egypt. Key learning aims (1) Current status of the practice and education of CBT in Egypt. (2) Body of research conducted on CBT in Egypt. (3) Needs and recommendations for further development of CBT provision in Egypt.

scholarly journals Cognitive-behavioural therapy for schizophrenia: Filling the therapeutic vacuum

2003 ◽  
Vol 183 (2) ◽  
pp. 98-99 ◽  
Author(s):  
Douglas Turkington ◽  
David Kingdon ◽  
Paul Chadwick
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Clinical Excellence ◽  
Evidence Base ◽  
Behavioural Therapy ◽  
Convincing Evidence ◽  
Family Work ◽  
Standard Clinical Practice ◽  
Cognitive Behavioural ◽  
Accepted Part ◽  
The Cost

When does a therapeutic intervention become an accepted part of standard clinical practice? Is it when there is sufficient research evidence? But what constitutes ‘sufficient’? What about available resources and acceptability to patients? Do we have to wait until the National Institute for Clinical Excellence pronounces? A convincing evidence base for family work in schizophrenia (Kuipers, 2000) has existed for many years but has been poorly implemented (Anderson & Adams, 1996). Will cognitive-behavioural therapy (CBT) for psychosis suffer the same fate? Which professional group will champion such an implementation? The evidence for other psychological treatments is less robust. Psychoeducation may prolong time to relapse and improve insight but at the cost of increasing suicidal ideation (Carroll et al, 1998). Personal therapy (Hogarty et al, 1997) may be of value but is contra-indicated for patients who are living alone in the community. Psychodynamic approaches are advocated (Mace & Margison, 1997) but most psychiatrists do not support their use in practice, owing to lack of evidence of efficacy.

scholarly journals Let’s put the “T” back into CBT

2018 ◽  
Vol 23 (4) ◽  
pp. 240-245 ◽  
Author(s):  
James Binnie ◽  
Marcantonio Spada
Keyword(s):  
Clinical Practice ◽  
Cognitive Behavioural Therapy ◽  
Psychiatric Diagnosis ◽  
Design Methodology ◽  
Behavioural Therapy ◽  
Evidence Based ◽  
Content Type ◽  
Cognitive Behavioural ◽  
The Impact ◽  
Reductionist Approach

Purpose The purpose of this paper is to critique the current manner in which cognitive behavioural therapy (CBT) is delivered, with a focus on the impact of evidence-based practice. Design/methodology/approach This paper is based upon the experiences, ideas and clinical practice of the authors. Findings The reductionist approach based on psychiatric diagnosis is put forward as the mechanism by which CBT has gradually lost its status as a form of psychotherapy. Originality/value An alternative framework based on revitalising CBT as a client centred, problem-based and formulation driven form of therapy is put forward.

A questionnaire-based qualitative study of therapist views on computerized CBT

2016 ◽  
Vol 9 ◽  
Author(s):  
J. Newton ◽  
E. C. Sundin
Keyword(s):  
Qualitative Study ◽  
Therapeutic Relationship ◽  
Cognitive Behavioural Therapy ◽  
Thematic Analysis ◽  
Evidence Based Practice ◽  
Behavioural Therapy ◽  
Evidence Based ◽  
Cognitive Behavioural ◽  
Pros And Cons ◽  
Structured Questionnaire

AbstractFew studies have explored therapists’ views on computerized cognitive behavioural therapy (cCBT) and this study aimed to provide an in-depth understanding of accredited therapists’ views on cCBT's role in treating depression. Twelve therapists constituted this self-selected sample (eight female, four male). Mean age was 52 years (range 46–61). The data obtained from a semi-structured questionnaire were analysed using thematic analysis. Three themes were identified and discussed: (1) the standardized nature of cCBT for depression, (2) the importance of the therapeutic relationship in cCBT, and (3) the pros and cons with cCBT as an alternative to CBT. The therapists in this study emphasized that innovations in CBT delivery formats (e.g. internet-based, computerized) show promise. However, participants expressed some views that clash with the evidence-based viewpoint. More work is needed to improve the implementation of evidence-based practice and policy.

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